Safer services: a toolkit for specialist mental health services and primary care: 10 key elements to improve safety

SCIE Social Care Online
University of Manchester
Publication date:
01 January 2017


This toolkit presents quality and safety statements about clinical and organisational aspects of care and is intended to be used as a basis for self-assessment by specialist mental health care providers. This version has been updated to include evidence from most recent data, and new statements about working with carers. The statements cover: safer wards; care planning and early follow-up on discharge from hospital to community; no out-of-area admissions for acutely ill patients; 24 hour crisis resolution/home treatment teams; community outreach teams to support patients who may lose contact with conventional services; specialised services for patients with mental illness and co-morbid alcohol and drug misuse; multidisciplinary review (working with carers); implementing NICE guidance on depression and self-harm; personalised risk management, without routine checklists; low turnover of non-medical staff; psychosocial assessment of self-harm patients; safer prescribing of opiates and antidepressants; diagnosis and treatment of mental health problems especially depression in primary care; and additional measures for men with mental ill-health, including services online and in non-clinical settings.